Biopsy Principles and techniques Flashcards

1
Q

What is a papule?

A

-Circumscribed solid elevation of skin with no visible fluid, varying in size from a pinhead to 1 cm (.5 inch)

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2
Q

What is a macule?

A

-Circumscribed change in the color of skin that is neither raised nor depressed, they are completely flat and can only be appreciated by visual inspection and not by touch

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3
Q

What is a macule greater than 1 cm referred to as?

A

-Patch

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4
Q

What is a nodule?

A

-A raised solid lesion more than 1 cm

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5
Q

What layers are nodules found in?

A
  • Epidermis
  • Dermis
  • Subcutaneous tissue
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6
Q

What is a plaque?

A

-Solid, raised, flat-topped lesion greater than 1 cm in diameter

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7
Q

What are vesicles?

A

-Raised lesions less than 1 cm in diameter that are filled with clear fluid

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8
Q

What is a bullae?

A

-Circumscribed fluid-filled lesions that are greater than 1 cm in diameter

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9
Q

Define sessile?

A

-Attached directly by its base without a stalk or peduncle

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10
Q

T/F A fibroma is always sessile

A

True

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11
Q

What are your choices if you see a pathology in the clinic?

A
  • Watch it (2 weeks)
  • Cytology
  • Brush Biopsy (epithelial lesions)
  • Fine needle aspiration
  • Soft tissue scapel biopsy
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12
Q

Why do you wait two weeks?

A

-That is how long it takes a basal cell to become an epithelial cell

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13
Q

What are three reasons not to do a brush biopsy?

A
  • Lesions with intact normal epithelium
  • Highly suspicious lesions
  • Lesions with obvious etiology
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14
Q

What is the fee for an analysis of a scalpel biopsy?

A

$239

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15
Q

What is the fee for collecting the specimen on a scalpel biopsy?

A

$150

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16
Q

When could you do a brush biopsy?

A

-When there are lesions with abnormal epithelial surface

17
Q

When doing a brush biopsy how do you know if you’ve gone far enough?

A

-You have to have induced bleeding

18
Q

What is the difference between incision vs excision?

A
  • Incision = taking part of the pathology

- Excision = taking all of the pathology out